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Clinical implication of ocular torsion in peripheral vestibulopathy.
Eur Arch Otorhinolaryngol. 2015 Jul; 272(7):1613-7.EA

Abstract

Acute unilateral vestibular loss presents as ocular torsion (OT) and caloric unilateral weakness (UW). However, the amount of OT is frequently dissociated from UW depending on when the examination was performed and the extent and cause of the vestibular lesion. This study evaluated the relationship between OT and UW in peripheral vestibular diseases, including Ménière's disease (MD) and vestibular neuritis (VN), and determined whether it contributed to OT as a means of differentiating between the two diseases. A retrospective chart review was performed in 64 patients with VN and 67 patients with MD. We divided the patients into three groups according to the interval from symptom onset to when the tests were performed: within 7 (group A), from 8 to 30 (group B) and over 30 (group C) days. UW, OT and the chronological correlation/dissociation between the two parameters were analyzed. For the 64 patients with VN, the degree of OT and severity of UW were positively correlated in group A (r = 0.749, P < 0.001). OT and UW were significantly dissociated with time (P < 0.001). For the 67 patients with MD, no correlation between the degree of OT and severity of UW was seen in MD group A. No significant dissociation change was revealed among the groups (P = 0.114). The OT abnormality is remarkable during the acute phase of VN, whereas it might not be remarkable immediately after a vertigo attack in MD. This finding can be used to differentiate MD and VN, especially when no definite hearing loss is seen or VN recurs.

Authors+Show Affiliations

Department of Otolaryngology-Head and Neck Surgery, Chungnam National University School of Medicine, Daejeon, South Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24609644

Citation

Choi, Jin Woong, et al. "Clinical Implication of Ocular Torsion in Peripheral Vestibulopathy." European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated With the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, vol. 272, no. 7, 2015, pp. 1613-7.
Choi JW, Kang SI, Rhee JH, et al. Clinical implication of ocular torsion in peripheral vestibulopathy. Eur Arch Otorhinolaryngol. 2015;272(7):1613-7.
Choi, J. W., Kang, S. I., Rhee, J. H., Choi, B. Y., Choi, B. Y., Kim, J. S., & Koo, J. W. (2015). Clinical implication of ocular torsion in peripheral vestibulopathy. European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated With the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 272(7), 1613-7. https://doi.org/10.1007/s00405-014-2952-3
Choi JW, et al. Clinical Implication of Ocular Torsion in Peripheral Vestibulopathy. Eur Arch Otorhinolaryngol. 2015;272(7):1613-7. PubMed PMID: 24609644.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical implication of ocular torsion in peripheral vestibulopathy. AU - Choi,Jin Woong, AU - Kang,Seong Il, AU - Rhee,Ji Hye, AU - Choi,Byung Yoon, AU - Choi,Byeong Yoon, AU - Kim,Ji-Soo, AU - Koo,Ja-Won, Y1 - 2014/03/08/ PY - 2013/03/16/received PY - 2014/02/11/accepted PY - 2014/3/11/entrez PY - 2014/3/13/pubmed PY - 2015/12/17/medline SP - 1613 EP - 7 JF - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery JO - Eur Arch Otorhinolaryngol VL - 272 IS - 7 N2 - Acute unilateral vestibular loss presents as ocular torsion (OT) and caloric unilateral weakness (UW). However, the amount of OT is frequently dissociated from UW depending on when the examination was performed and the extent and cause of the vestibular lesion. This study evaluated the relationship between OT and UW in peripheral vestibular diseases, including Ménière's disease (MD) and vestibular neuritis (VN), and determined whether it contributed to OT as a means of differentiating between the two diseases. A retrospective chart review was performed in 64 patients with VN and 67 patients with MD. We divided the patients into three groups according to the interval from symptom onset to when the tests were performed: within 7 (group A), from 8 to 30 (group B) and over 30 (group C) days. UW, OT and the chronological correlation/dissociation between the two parameters were analyzed. For the 64 patients with VN, the degree of OT and severity of UW were positively correlated in group A (r = 0.749, P < 0.001). OT and UW were significantly dissociated with time (P < 0.001). For the 67 patients with MD, no correlation between the degree of OT and severity of UW was seen in MD group A. No significant dissociation change was revealed among the groups (P = 0.114). The OT abnormality is remarkable during the acute phase of VN, whereas it might not be remarkable immediately after a vertigo attack in MD. This finding can be used to differentiate MD and VN, especially when no definite hearing loss is seen or VN recurs. SN - 1434-4726 UR - https://www.unboundmedicine.com/medline/citation/24609644/Clinical_implication_of_ocular_torsion_in_peripheral_vestibulopathy_ L2 - https://dx.doi.org/10.1007/s00405-014-2952-3 DB - PRIME DP - Unbound Medicine ER -